Provider Demographics
NPI:1811005259
Name:MINNOCK, EILEEN A (CNM)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:A
Last Name:MINNOCK
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:901 EAST BRADY STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-285-9200
Mailing Address - Fax:724-285-9288
Practice Address - Street 1:901 EAST BRADY STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-285-9200
Practice Address - Fax:724-285-9288
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2012-07-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife